Individual
ELISE J BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
21827 76TH AVE W, SUITE 101, EDMONDS, WA 98026-7981
(425) 582-0930
(425) 582-7250
Mailing address
21827 76TH AVE W #101, # 101, EDMONDS, WA 98026-7981
(425) 582-0930
(425) 582-7250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60242053
WA
Other
Enumeration date
09/28/2011
Last updated
12/12/2016
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